Frontotemporal DementiaPhase 2IEMONCT01937013
Impact of Emotional Mimicry and Oxytocin on Frontotemporal Dementia
A Phase 2 study testing Intranasal oxytocin and Saline Nasal Mist in people with Frontotemporal Dementia, run by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's at 1 site in Canada.
Trial summary
This study will evaluate the effects on emotions and neural activity of a one time dose of intranasal oxytocin vs. placebo in patients with FTD and healthy controls. Read more about this study
- Who is it for?
- Ages 30 to 85 yearsHealthy volunteers can take part
- Conditions the study is for
- Frontotemporal Dementia
- What is being tested?
- Intranasal oxytocin and Saline Nasal Mist
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 52 participants
- Where
- 1 siteCanada
- Study dates
- 12 Sep 2013to 21 Dec 2017
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 85 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Patients:
- Ages 30-85
- meet consensus criteria for probable behavioural variant FTD (bvFTD)
- Controls:
- Age and sex matched with patients
- Mini-Mental State Exam (MMSE) scores >27
Who cannot join
- Patients:
- history of stroke
- intracranial haemorrhage or other medical or neurological disorder apart from FTD that could affect cognition
- diagnosis of bipolar disorder or schizophrenia not better accounted for by the diagnosis of FTD
- cognitive impairment that precludes comprehension of task instructions
- contraindication to MRI scanning
Show all 22Show fewer
- severe language or memory deficits that preclude participation in the study visits and measures
- females who are pregnant or breastfeeding (a pregnancy test will be done on females who have not completed menopause).
- uncontrolled hypertension
- bradycardia (rate <48 bpm) or tachycardia (rate > 100 bpm)
- current use of prostaglandins
- Controls:
- history of stroke
- intracranial haemorrhage or other medical or neurological disorder
- diagnosis of bipolar disorder or schizophrenia
- cognitive impairment that precludes comprehension of task instructions
- contraindication to MRI scanning
- severe language or memory deficits that preclude participation in the study visits and measures
- females who are pregnant or breastfeeding (a pregnancy test will be done on females who have not completed menopause).
- uncontrolled hypertension
- bradycardia (rate <48 bpm) or tachycardia (rate > 100 bpm)
- current use of prostaglandins
Trial locations and contacts
1 site in 1 country.
About this study
This study will evaluate the effects on emotions and neural activity of a one time dose of intranasal oxytocin vs. placebo in patients with FTD and healthy controls.
Read the detailed description
Frontotemporal dementia (FTD) and Pick's disease cause changes in personality, behaviour, and emotional responses. The usual treatments for Frontotemporal dementia focus on reducing agitation and aggressive behaviours. However, these drugs do not help all patients who experience blunting of emotion and loss of empathy. This study will evaluate the effects on emotions and neural activity of a one time dose of intranasal oxytocin vs. placebo in patients with FTD and healthy controls.
- Conditions
- Frontotemporal Dementia
- Being tested
- Intranasal oxytocin, Saline Nasal Mist
- Keywords
- Frontotemporal Dementia, emotion, oxytocin, fMRI
- Medical subject headings
- Frontotemporal Dementia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intranasal oxytocinDrug
Also called Syntocinon
Oxytocin can be given intravenously (with a needle) or intranasally (a spray into the nose). The intravenous form of drug is approved by Health Canada for use in pregnancy. The intranasal formulation is not currently approved for use by Health Canada, but is used in Europe to induce labour in pregnant women or aid lactation (breastfeeding). Participants will be randomized to receive 72 IU intranasal oxytocin on either study visit 2 or 3.
Saline Nasal MistDrug
Also called Placebo
Participants will be randomized to receive placebo on either study visit 2 or 3.
| Study group | Role | What they receive |
|---|---|---|
| Intranasal Oxytocin | Experimental | Participants will be randomized to receive 72 IU intranasal oxytocin on either study visit 2 or 3 Receives: Drug: Intranasal oxytocin |
| Saline Nasal Mist | Placebo comparator | Participants will be randomized to receive intranasal saline mist (placebo) on opposite visits from the interventional drug visit 2 or 3 Receives: Drug: Saline Nasal Mist |
What is being measured
The primary outcome is the main question the study is designed to answer.
Functional magnetic resonance imaging (fMRI) BOLD signal
Measures of BOLD (Blood Oxygen-Level Dependent) signal change during oxytocin compared to placebo during functional MRI scans
Measured: 2 weeks
Secondary outcomes (1)
Cognitive and Emotional Task performance
Performance on standardized tasks of emotion processing and cognition
Measured: 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Sep 2013 (estimated)
- Study start12 Sep 2013
- Primary completion21 Dec 2017
- Study completion21 Dec 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Frontotemporal DementiaStudies of the same condition, open and under way.
- More trials run by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 52 participants (actual)
Sponsor and investigators
- Lead sponsor
- London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
- Sponsor type
- University, hospital or other
- Collaborators
- Canadian Institutes of Health Research (CIHR)
- Responsible party
- Principal investigator, Elizabeth Finger, London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
- Investigators
- Elizabeth C Finger, M.D., Principal investigator, LawsonHRI, London Health Sciences Centre, Western University, Schulich School of MedicineDerek Mitchell, PhD, Principal investigator, Western University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01937013
- Sponsor's protocol ID
- R-13-270
- Other IDs
- 166786, 103555, FTDOXY13EF
- Acronym
- IEMO
- Status last verified
- Aug 2018
- First submitted
- 3 Sep 2013
- Last updated
- 8 Aug 2018
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Undecided
Publications
Oliver LD, Stewart C, Coleman K, Kryklywy JH, Bartha R, Mitchell DGV, Finger EC. Neural effects of oxytocin and mimicry in frontotemporal dementia: A randomized crossover study. Neurology. 2020 Nov 10;95(19):e2635-e2647. doi: 10.1212/WNL.0000000000010933. Epub 2020 Sep 22.
PubMed 32963103
Study at a glance
From the registry record, last updated by the sponsor on 8 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Emotional Mimicry and Oxytocin on Frontotemporal Dementia
- ClinicalTrials.gov ID
- NCT01937013
- Acronym / sponsor ID
- IEMO / R-13-270
- Conditions
- Frontotemporal Dementia
- Keywords
- Frontotemporal Dementia, emotion, oxytocin, fMRI
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 52 participants (actual)
- Lead sponsor
- London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sUniversity, hospital or other
- Collaborators
- Canadian Institutes of Health Research (CIHR)
- Study start
- 12 Sep 2013 (actual)
- Primary completion
- 21 Dec 2017 (actual)
- Study completion
- 21 Dec 2017 (actual)
- First posted
- 9 Sep 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the effects on emotions and neural activity of a one time dose of intranasal oxytocin vs. placebo in patients with FTD and healthy controls.
Detailed description
Frontotemporal dementia (FTD) and Pick's disease cause changes in personality, behaviour, and emotional responses. The usual treatments for Frontotemporal dementia focus on reducing agitation and aggressive behaviours. However, these drugs do not help all patients who experience blunting of emotion and loss of empathy. This study will evaluate the effects on emotions and neural activity of a one time dose of intranasal oxytocin vs. placebo in patients with FTD and healthy controls.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intranasal Oxytocin | Experimental | Drug: Intranasal oxytocinParticipants will be randomized to receive 72 IU intranasal oxytocin on either study visit 2 or 3 |
| Saline Nasal Mist | Placebo comparator | Drug: Saline Nasal MistParticipants will be randomized to receive intranasal saline mist (placebo) on opposite visits from the interventional drug visit 2 or 3 |
Who may qualify
- Ages
- 30 to 85 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Ages 30-85
- meet consensus criteria for probable behavioural variant FTD (bvFTD)
- Age and sex matched with patients
- Mini-Mental State Exam (MMSE) scores >27
Key exclusion criteria (22 listed)
- history of stroke
- intracranial haemorrhage or other medical or neurological disorder apart from FTD that could affect cognition
- diagnosis of bipolar disorder or schizophrenia not better accounted for by the diagnosis of FTD
- cognitive impairment that precludes comprehension of task instructions
- contraindication to MRI scanning
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Intranasal oxytocinAlso: SyntocinonOxytocin can be given intravenously (with a needle) or intranasally (a spray into the nose). The intravenous form of drug is approved by Health Canada for use in pregnancy. The intranasal formulation is not currently approved for use by Health Canada, but is used in Europe to induce labour in pregnant women or aid lactation (breastfeeding). Participants will be randomized to receive 72 IU intranasal oxytocin on either study visit 2 or 3. | Drug | Intranasal Oxytocin |
| Saline Nasal MistAlso: PlaceboParticipants will be randomized to receive placebo on either study visit 2 or 3. | Drug | Saline Nasal Mist |
Primary outcome
Functional magnetic resonance imaging (fMRI) BOLD signal
Time frame: 2 weeks
Measures of BOLD (Blood Oxygen-Level Dependent) signal change during oxytocin compared to placebo during functional MRI scans
1 secondary outcome
Cognitive and Emotional Task performance
Time frame: 2 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Aug 2018.
- Derived from this study: PubMed 32963103Oliver LD, Stewart C, Coleman K, Kryklywy JH, Bartha R, Mitchell DGV, Finger EC. Neural effects of oxytocin and mimicry in frontotemporal dementia: A randomized crossover study. Neurology. 2020 Nov 10;95(19):e2635-e2647. doi: 10.1212/WNL.0000000000010933. Epub 2020 Sep 22.
- Individual participant dataSharing planned: Undecided
Related trials for Frontotemporal Dementia
Enrolling by invitationPhase 2
The Progressive Supranuclear Palsy Clinical Trial Platform - Regimen A: AADvac1
PSP - Progressive Supranuclear Palsy
Enrolling by invitationPhase 2
The Progressive Supranuclear Palsy Clinical Trial Platform - Regimen B: LM11A-31
PSP - Progressive Supranuclear Palsy
RecruitingObservational study
Investigating Complex Neurodegenerative Disorders Related to Amyotrophic Lateral Sclerosis and Frontotemporal Dementia
Frontotemporal Dementia, Amyotrophic Lateral Sclerosis
Recruiting
Automated Language Analysis in Neurodegenerative Diseases: Application of Artificial Intelligence Models
Alzheimer's Disease (AD), Frontotemporal Dementia (FTD)
Not yet recruitingObservational study
Ultra-high-performance Positron Emission Tomography (PET) of Synaptic Density, Reactive Astrogliosis and Tau in Alzheimer's Disease
Alzheimer's Disease, Healthy Adult Participants
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Elizabeth C Finger, M.D. principal investigator
LawsonHRI, London Health Sciences Centre, Western University, Schulich School of Medicine
Derek Mitchell, PhD principal investigator
Western University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Intranasal oxytocin and Saline Nasal Mist in people with Frontotemporal Dementia, run by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Functional magnetic resonance imaging (fMRI) BOLD signal (time frame: 2 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01937013, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Aug 2018.